Active NPI
Kimberly Anne Temple, (L.M.T.)
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Austin, TX
National Provider Identifier
1639394877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- MT015175
- Practice address
- 2818 Saratoga Dr
Austin, TX 78733-1244 - Phone
- (512) 751-0508
- NPI assigned
- Apr 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MT015175 | TX | |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | MT015175 | TX | Primary |
Addresses
Primary practice location
2818 Saratoga Dr
Austin, TX 78733-1244
Mailing address
2818 Saratoga Dr
Austin, TX 78733-1244
Phone (512) 751-0508
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT015175 | Other | TX | 1175M-MIDWIFE, LAY- |
| MT015175 | Other | TX | 172M0000X-MECHANOTHERAP |
| MT015175 | Other | TX | 175F0000X-NATUROPATH |
| MT015175 | Other | TX | 171W000000X-CONTRACTOR- |
| MT01575 | Other | TX | 1740000X-SPECIALIST |
| 193200000X | Other | TX | CLINICAL LICENCED INSTRUCTOR PNF, NMR, MFR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT015175 | TX | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1639394877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2818 SARATOGA DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787331244",
"telephone_number": "512-751-0508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2818 SARATOGA DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787331244",
"telephone_number": "512-751-0508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMPLE",
"first_name": "KIMBERLY",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "(L.M.T.)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-14",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "MT015175",
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "TX",
"license": "MT015175",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1175M-MIDWIFE, LAY-",
"identifier": "MT015175",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "172M0000X-MECHANOTHERAP",
"identifier": "MT015175",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "175F0000X-NATUROPATH",
"identifier": "MT015175",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "171W000000X-CONTRACTOR-",
"identifier": "MT015175",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1740000X-SPECIALIST",
"identifier": "MT01575",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL LICENCED INSTRUCTOR PNF, NMR, MFR",
"identifier": "193200000X",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.